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NPI Code Detail

MEDICARE: MRS. ANGELA DAWN POPE-BAILEY ARNP

MEDICARE: MRS. ANGELA DAWN POPE-BAILEY ARNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner69193OK

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1629209721
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. ANGELA DAWN POPE-BAILEY ARNP
Provider Business Mailing Address
First Line : 800 FRISCO AVE
Second Line :
City : CLINTON
State : OK
Zip : 73601-3306
Country : US
Telephone Number : 580-323-2700
Fax Number : 580-323-2276
Provider Business Practice Location Address
First Line : 800 FRISCO AVE
Second Line :
City : CLINTON
State : OK
Zip : 73601-3306
Country : US
Telephone Number : 580-323-2700
Fax Number : 580-323-2276
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/06/2009
Last Update Date : 02/18/2022

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